Organization Active NPI

Philip T C Chan MD Inc

  • Obstetrics Physician
  • Alhambra, CA
National Provider Identifier
1285767798
Registry record updated Nov 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G39596 Issued in CA
Legal business name
PHILIP T C CHAN MD INC
Practice address
821 S Garfield Ave
Suite 101
Alhambra, CA 91801-5839
Phone
(626) 284-7300
NPI assigned
Mar 13, 2007
Last updated
Nov 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philip T. C. Chan, MDNPI 1174681134
Title
President
Phone
(626) 284-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X G39596 CA Primary

Addresses

Primary practice location

821 S Garfield Ave
Suite 101
Alhambra, CA 91801-5839

Mailing address

821 S Garfield Ave
Suite 101
Alhambra, CA 91801-5839
Phone (626) 284-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000313 CA Part B Supplier - Clinic/Group Practice 2264475888 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA; Los Angeles, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

821 S Garfield Ave
Ste 101
Alhambra, CA 91801
Phone (626) 284-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195344000000",
    "number": "1285767798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S GARFIELD AVE",
            "address_2": "SUITE 101",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015839",
            "telephone_number": "626-284-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S GARFIELD AVE",
            "address_2": "SUITE 101",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015839",
            "telephone_number": "626-284-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP T C CHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "T. C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-284-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G39596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.